DOCUMENTS

DOCUMENTS

ENROLMENT OF SUPPLIERS AT

LE PARC RESIDENTIAL ESTATE

SUPPLIERS SERVICE

CONTRACTOR TYPE

COMPANY NAME

COMPANY CONTACT NUMBER

Prefix

Name and Surname

EMAIL ADDRESS

CONTACT NUMBER OF ONSITE PERSON

APPLICANT DETAILS

NAME

Prefix

Name and Surname

ID / PASSPORT NUMBER

GENDER

EMAIL ADDRESS

OCCUPATION / POSITION HELD OF APPLICANT

VEHICLE MAKE

VEHICLE MODEL

VEHICLE COLOUR

VEHICLE REGISTRATION NUMBER

EMERGENCY CONTACT NAME

Name and Surname

EMERGENCY CONTACT NUMBER

ACCESS PERIOD

The Access Period of the Contractor is solely dependent on the Date of Criminal Check Document. Date of Criminal Check Uploaded plus 1 Year Activation period.

TERMS AND CONDITIONS

As a condition to being granted access to Le Parc Residential Estate, I agree on my own behalf, on behalf of all my guests and on behalf of all children under my control that: dangerous activities occur, and dangerous areas are present on the Estate. These include but are not limited to activities and equipment associated with security, dams, playgrounds, swimming pools, gyms, roads, landscaping, chemicals and any other activity associated with residential security estate and their advertised activities (“the activities”). I am fully aware of the inherent risks associated with my/our participation in any of the activities. I/We enter the premises/land owned or controlled by the Le Parc Residential Estate Home Owners’ Association and all their members and employees and all associated persons and entities (“the HOA”) at my/our own risk. I/We accept that I am/we are solely responsible for supervision and care of all children under my/our control. I/We indemnify each of the HOA against any damages, which may occur due to injury to person, or loss or damage to property, while we are on or around the Estate, however or by whomever it may occur. I undertake not to institute any claim against any of the HOA for any such damages. I/we similarly indemnify each of the HOA against all such damage caused by me/us to others. I/We hereby record that I/we bind my/our dependents, heirs, executors, administrators and assigns to the terms and conditions of this indemnity. This release shall be binding to the fullest extent permitted by law. If any provision of this indemnity is found to be unenforceable, the remaining terms shall be enforceable. I agree to submit myself to undergo a Polygraph Test, Clearance-, Background- and any other related tests required for purposes of ensuring security on the Estate only, on request by the HOA. I/We agree that my/our personal information as defined in the Protection of Personal Information Act, No 4 of 2013, as amended, may be used, collected and retained for purposes of enabling the HOA to enforce the Estate Rules and Constitution, to retain a record of my movements on the Estate, for maintaining security, to carry out its business, and for purposes of conducting security clearance and background checks. I authorize the HOA to disclose such information to third parties for such purposes. Although the HOA will use their best endeavours to safeguard information against any loss, damage, unauthorised destruction and unlawful access thereto, I/we unconditionally indemnify each of the HOA against any liability, which may result due to such use. My/Our information may be retained for as long as necessary to fulfil the purposes for which it was collected. Should I/we choose not to avail ourselves of the Rules, I/we accept all risks associated with such choice. I/We have read and understood the Estate Rules and HOA Constitution, which are available on request and on the website at www.leparc.co.za.

SUPPORTING DOCUMENTS

Upload ID or Passport Copy*

Accepted file types: jpg, png, pdf

Upload Brooke Results

Accepted file types: jpg, png, pdf

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